Pine Belt Periodontics, Pllc
Specialty details in registry · Hattiesburg, MS
At a glance
9 Medical Blvd, Hattiesburg, MS 39401-7231
NPPES record updated Aug 22, 2020. Public records can lag behind changes at a practice.
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- Are you accepting new patients?
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Insurance participation and appointment availability are not established by these public records.
Practice location
9 Medical BlvdHattiesburg, MS 39401-7231
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Specialty details in registry
- Taxonomy code
- 1223P0300X
- Enumeration date
- Jan 8, 2007
- Record updated
- Aug 22, 2020
More registry details
- Provider type
- Organization · Type 2
Reported taxonomies and licenses
Specialty details in registry
1223P0300X · Primary
License reported: 2568-90 MS
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
9 Medical BlvdHattiesburg, MS 39401-7231
- Phone
- (601) 264-2424
- Fax
- (601) 264-2410
Mailing address
9 MEDICAL BLVDHATTIESBURG, MS 394017231
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
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